MICHAEL FUDALI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140514

License Status

NOT RENEWED

Business

First Name

MICHAEL

Last Name

FUDALI

Business Name

MICHAEL FUDALI

Original Issue Date

02/05/2002

Effective Date

02/05/2002

Expiration Date

03/31/2003

City

LINCOLNSHIRE

State

Zip

60069

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005